Individual
KIMBERLY MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
913 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 819-7103
(208) 719-0050
Mailing address
913 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 819-7103
(208) 719-0050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69417
ID
Other
Enumeration date
09/04/2014
Last updated
09/06/2021
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